11765 Insurance Policy Changes

Routine Foot Care (CPB 0046, reviewed 2026-04-07)

Aetna's Routine Foot Care policy (CPB 0046) clarifies coverage rules effective immediately: routine foot care is generally NOT covered under most Aetna plans, but IS covered when medically necessary for patients with systemic conditions (diabetes, peripheral neuropathy, arteriosclerosis, etc.) or when foot care is integral to treating another covered condition. Billing teams must verify plan-specific exclusions and apply strict medical necessity criteria before submitting claims for routine foot care procedures.